Krensavage Asset Management, LLC

Fundamental concentrated ★Highest signal healthcare specialist (100%) CIK 1609251
League rank
#732
in Fundamental concentrated · #5640 overall
Long book
$255.7M
Q1 2026
Positions
20
Top-10 weight
87%
concentration
Last quarter
+9.4%
SPY +14.8%
Turnover
35%
of book per quarter

Strategy in plain words

auto-generated from filings

Krensavage Asset Management, LLC is a concentrated fundamental stock-picker, specialised in healthcare (100% of the long book), running a $255.7M US long book across 20 positions.

The portfolio is extremely concentrated — the top 10 positions are almost the whole book. The portfolio is actively managed, with meaningful quarterly turnover. Current anchor positions: UNITED THERAPEUTICS CORP, ENANTA PHARMACEUTICALS INC, JAZZ PHARMACEUTICALS PLC, BIOMARIN PHARMACEUTICAL INC, EXELIXIS INC.

Over the last 9 quarters its long book ran on average 3.2pp per quarter ahead of the S&P 500, beating the index in 5 of 9 quarters. We rate its filings highest-signal: new buys here are worth attention.

Implied long-book return vs S&P 500

methodology: positions priced quarterly, no shorts/options
Fund long book S&P 500
Q1 2024
+1.9%
Q2 2024
+6.7%
Q3 2024
+0.3%
Q4 2024
-0.8%
Q1 2025
+9.7%
Q2 2025
+24.2%
Q3 2025
+18.2%
Q4 2025
-0.2%
Q1 2026
+9.4%

Sector allocation

Healthcare
100%

Long book by quarter

$225.5M
Q1 2024
$217.8M
Q2 2024
$178.5M
Q3 2024
$169.0M
Q4 2024
$180.9M
Q1 2025
$188.9M
Q2 2025
$234.7M
Q3 2025
$283.1M
Q4 2025
$255.7M
Q1 2026

What does Krensavage Asset own?

Q1 2026 13F
CompanySectorSharesValue% of bookChange
UTHR UNITED THERAPEUTICS CORPHealthcare84.3K$50.0M19.5%-7.7%
ENTA ENANTA PHARMACEUTICALS INCHealthcare2.9M$36.2M14.2%+3.6%
JAZZ JAZZ PHARMACEUTICALS PLCHealthcare167.8K$31.7M12.4%Held
BMRN BIOMARIN PHARMACEUTICAL INCHealthcare524.8K$29.6M11.6%Held
EXEL EXELIXIS INCHealthcare415.7K$17.8M7.0%-15.8%
SUPN SUPERNUS PHARMACEUTICALS INCHealthcare280.7K$14.5M5.7%-10.5%
INDV INDIVIOR PHARMACEUTICALS INCHealthcare339.5K$10.3M4.0%New
RARE ULTRAGENYX PHARMACEUTICAL INHealthcare390.9K$8.2M3.2%+161.2%
VNDA VANDA PHARMACEUTICALS INCHealthcare1.2M$8.2M3.2%Held
EMBC EMBECTA CORPHealthcare735.3K$6.5M2.5%New
ALKS ALKERMES PLCHealthcare107.8K$3.8M1.5%Held
BIIB BIOGEN INCHealthcare20.0K$3.7M1.4%+100.0%
REGN REGENERON PHARMACEUTICALSHealthcare4.0K$3.1M1.2%Held
ARDX ARDELYX INCHealthcare500.0K$3.0M1.2%New
INMD INMODE LTDHealthcare120.9K$1.7M0.6%New
EOLS EVOLUS INCHealthcare158.0K$649K0.3%+58.0%
ABT ABBOTT LABORATORIESHealthcare5.0K$513K0.2%New

13F filing history

PeriodFormFiledEntriesReported valueFlagsSource
Q1 202613F-HRMay 15, 202620$255.7M $K fixed canonicalSEC ↗
Q4 202513F-HRFeb 18, 202618$283.1M $K fixed canonicalSEC ↗
Q3 202513F-HRNov 17, 202517$234.7M $K fixed canonicalSEC ↗
Q2 202513F-HRAug 15, 202515$188.9M $K fixed canonicalSEC ↗
Q1 202513F-HRMay 15, 202514$180.9M $K fixed canonicalSEC ↗
Q4 202413F-HR/ARESTATEMENTFeb 18, 202512$169.0M $K fixed canonicalSEC ↗
Q4 202413F-HRFeb 18, 202512$169K SEC ↗
Q3 202413F-HRNov 15, 202413$178.5M $K fixed canonicalSEC ↗
Q2 202413F-HRAug 15, 202413$217.8M $K fixed canonicalSEC ↗
Q1 202413F-HRMay 15, 202412$225.5M $K fixed canonicalSEC ↗